Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tequila Buckhanon

Individual provider Non-emergency Medical Transport (VAN) · NPI 1477170777

Tequila Buckhanon is a Non-emergency Medical Transport (VAN) in Brooklyn Center, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5701 Shingle Creek Pkwy Ste 250H
Brooklyn Center, MN 55430-2344
Phone: (612) 695-5614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 10827598 (MN)
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1477170777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2020
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020
Mailing address5701 Shingle Creek Pkwy Ste 250h, Brooklyn Center, MN 55430-2344

Other providers in Brooklyn Center